# DR. BRADLEY ROSS CARN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447516794
- **Gender:** Man
- **Credential:** D.M.D., MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2018008864 | MO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D5998 | AL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 2018228864 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2012
- **Last updated:** 12/12/2022